This website uses cookies to help you make the most of your visit.
By continuing to browse without changing your settings, you agree to our use of cookies.
Give me more information
x
-->

Pharmacy inspections

Inspection reports and learning from inspections

Skip to Content (Press Enter)

The Pharmacy (1108932) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.6

The pharmacy does not keep accurate records in accordance with the law

1.6 The pharmacy does not keep accurate records in accordance with the law The pharmacy now has a new set of SOP (reviewed on January 2023 and due from the next review on JAN 2024), which all the staff are currently reading and signing to confirm the have read and understand them.
The company also has a new staff porta at (jhootspharmacy.com) and all the staff has a login to the portal which provide up to date list of SOPs/training and company documents and they can access and sign electronically. And this will be reviewed regularly and will provided as part of the induction of any new staff. The pharmacist manager also will have access to monitor the staff SOP activities.
The Pharmacy recently moved to an electronic Cd register instead of the ordinary paper register and this caused confusion but this is now resolved by training the staff on using the electronic register and videos and diagrams have been downloaded on the main dispensing computer to help locum to understand how it works.
A complete CD balance check will be done weekly on Sunday to prevent any discrepancies and to make sure no entries missed and any unresolved discrepancies will reported to the Superintendent pharmacist to investigate and report to the CDLO of the area as per the company SOP.
Near-miss will be recorded on the PMR systems under counselling notes and to be reviewed every month in the regular monthly staff meeting to identify any trend of errors and learn from it and prevent any future errors. All staff now are aware of the recording procedure in the PMR.

29/03/2023 30/03/2023
4.3

The pharmacy does not effectively review or monitor the cold chain storage procedures. And it also stores some unpackaged medicines without adequate labelling.

4.3 The pharmacy does not effectively review or monitor the cold chain storage procedures. And it also stores some unpackaged medicines without adequate labelling.
Fridge Temperature to be checked daily at 9.00 am and recorded accurately on the PMR. And reviewed regularly and checked every end of the month by the pharmacist. All staff had a training from the pharmacist on how to check and record minimum and maximum temperature in the PMR.
The pharmacy also has a brand new fridge in case of any issues with the currently used fridge and all staff are aware of what to do in case of the fridge temp found to be outside the range of 2-8 centigrade.
All unpacked/repacked medicines have been taken from the shelves and disposed in the medicines waste and staff are aware of the need to label opening dates/expiry date and batch number/ name and quantity of medicines when repack medicines .

29/03/2023 30/03/2023